Nev. Admin. Code § 689B.210 - "Group policyholder" interpreted; filing, contents and delivery of disclosure

1. For the purposes of NRS 689B.028, "group policyholder" includes an employer's group in a marketing program of an association.

2. Each insurer shall file with the Commissioner, for his approval, a disclosure summarizing the coverage provided by a policy of group health insurance offered by the insurer.

3. The disclosure must:

(a) Be in at least 10-point type;

(b) Include the name, address and telephone number of the insurance company;

(c) Include the name, address and telephone number of the agent, broker and administrator, if applicable;

(d) Include a statement describing the principal benefits and the type of coverage being provided;

(e) Include a description of any provision of the policy which significantly excludes, eliminates, reduces or in any other manner operates to limit the payment of the benefits;

(f) Include a statement concerning the renewal provisions of the policy; and

(g) Define the term "usual and customary" or any similar term used in the policy.

4. The agent for the insurer, the insurer after a response to a direct-response solicitation or the broker representing the proposed insured shall deliver the approved disclosure summary to the proposed policyholder as provided in NRS 689B.028.

5. The provisions of this section do not apply to policies supplementing Medicare which are governed by the provisions of NAC 687B.200 to 687B.330, inclusive.

Notes

Nev. Admin. Code § 689B.210

Added to NAC by Comm'r of Insurance, eff. 2-21-90; A 7-16-92, eff. 7-30-92